Patient's sepsis symptoms missed by Dudley hospital staff
A hospital being investigated over concerns about its sepsis treatment delayed giving antibiotics to a patient with the condition who later died.
Simon Smith, who had a history of leg swelling, went to Dudley's Russells Hall Hospital in July in severe pain.
Despite displaying sepsis symptoms on 28 July, he only got suitable drugs on 2 August, a report into his care found.
Dudley Group NHS trust said it had found "significant areas of learning", and improvements had been made.
The report found the first chance to give antibiotics was missed when the 51-year-old father of two, from Dudley, had a high temperature and heart rate.
Five days later they were prescribed after a nurse doing a drug round, nearly two hours late, recognised Mr Smith was drowsy.
After a period in intensive care and despite a "do not resuscitate" notice being issued, he pulled through and was discharged in October.
Mr Smith, who worked as an installer, was later readmitted with a different infection and died on 1 November.
A post-mortem test found he died because of liver failure as a result of sepsis.
Mr Smith's wife Hayley, who has worked at the hospital as a data collector for 16 years, criticised the trust.
"I have not got faith. It's their practice. It doesn't give you much confidence.
"I am alone now. They just took him away from me and all the chances we had were taken," she said.
- In December 2017 inspectors from health watchdog the Care Quality Commission (CQC) found patients with sepsis were not being managed appropriately
- In March 2018, 33-year-old mother-of-six Natalie Billingham died after staff failed to recognise the condition and sent her home
- In June, another inspection again found sepsis patients were being misreported
- An investigation then began into 54 deaths that occurred between December 2017 and June 2018
By October, when Mr Smith was readmitted for the final time, the trust was reporting weekly to the CQC.
The report into Mr Smith's care found sepsis screening began but stopped with no explanation.
Chief executive Diane Wake said: "We are expecting the issues Simon's family raised with us to be fully and openly disclosed at the inquest.
"Unfortunately, as this is now with the coroner, I am unable to comment in any more detail and await the coroner's conclusion."
She added the trust's medical director had met Mr Smith's family on a number of occasions and shared findings with them.
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